RI-CR031 SUPERVISING AGENCY (Name and Address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS(Optional): FAX NO. (Optional): IN THE MATTER OF (Name of Supervised Person): Date of Birth: Date of Arrest: CASE NUMBER: (PRCS) BAR PETITION FOR REVOCATION - SUPPLEMENTAL REQUEST AND ORDERS PRCS (Pen. Code §3455) INSTRUCTIONS File this form with all Petitions for Revocation (CR-300) to schedule an Arraignment File this form with all Petitions for Revocation (CR-300) to request a Bench Warrant File this form to request dismissal of a pending Petition For Revocation File this form to request termination of Post-release Community Supervision PETITIONER REQUESTS THE FOLLOWING: Revoke supervision and appoint counsel Issue a Bench Warrant: Bail set at $ NO BAIL_ Schedule the following event in addition to the Revocation Hearing requested in accompanying Petition for Revocation: Arraignment and Settlement Conference (PRCS only) Arraignment Date: Time: 10:30 AM Location: Banning Justice Center-Department B201 Revocation Hearing Date: Time: 10:30 AM Location: Banning Justice Center-Department B201 Reinstate PRCS supervision on same terms and conditions and dismiss the Petition for Revocation for the following reasons: Supervised person is currently serving a prison sentence--Case # Other: Terminate PRCS supervision and dismiss the Petition for Revocation for the following reasons: Supervised person is currently serving a prison sentence--Case # Other: Other: Date: (NAME AND TITLE OF PETITIONER ­ SUPERVISING AGENCY) By: (SIGNATURE) COURT'S PROBABLE CAUSE FINDINGS AND ORDERS ORDER OF THE COURT: Court does not find probable cause to support a revocation, vacates any hearing dates, and returns the supervised person to supervision on the same terms and conditions. The supervising agency must notify the prosecutor, supervised person, and the supervised person's counsel (if any) of the dismissal. Court finds probable cause to support a revocation and summarily revokes supervision and tolls the running of the supervision period; Court appoints counsel. Bench Warrant to issue. Bail set at $ No Bail. Revocation Hearing is scheduled on at 10:30 AM in the Banning Justice Center--Department B201. Arraignment is scheduled on at 10:30 AM in the Banning Justice Center--Department B201. Request to reinstate supervision on the same terms and conditions and dismiss petition is GRANTED. All future hearing dates are ordered vacated. If in custody, supervised person is ordered released on this case only. Supervising agency to provide notice to the prosecutor and the supervised person's counsel or, if unrepresented, the supervised person. Request to reinstate supervision on the same terms and conditions and dismiss petition is DENIED. All future hearing dates to remain. Request to terminate PRCS supervision and dismiss petition is GRANTED. All future hearing dates are ordered vacated. If in custody, supervised person is ordered released on this case only. Supervising agency to provide notice to the prosecutor and the supervised person's counsel or, if unrepresented, the supervised person. Request to terminate PRCS supervision and dismiss petition is DENIED. All future hearing dates to remain. Other: Date: (REVOCATION HEARING OFFICER or JUDGE OF THE SUPERIOR COURT) Page 1 of 1 APPROVED FOR OPTIONAL USE RIVERSIDE SUPERIOR COURT RI-CR031 [Rev. 01/11/17] PETITION FOR REVOCATION - SUPPLEMENTAL REQUEST AND ORDERS Postrelease Community Supervision riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com